| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 70 Main St, Stoneham, Massachusetts |
| Authorized Official Name and Position | Rajashri Madhur (OFFICE MANAGER) |
| Authorized Official Contact | 7814380345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
70 Main St Stoneham MA 02180-3312 Ph: (781) 438-0345 | 70 Main St Stoneham MA 02180-3312 Ph: (781) 438-0345 |
| NPI Number | 1184918054 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184918054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19616 (Massachusetts) | Primary |
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